阴茎乳头及冠状沟尖锐湿疣1例报告
Condyloma acuminata on the nipple and coronary sulcus of the penis: A case report.
作者信息
Wu Yan, Song Ge, Li Man, Lun Wenhui
机构信息
Infectious Disease Center, Peking University Ditan Teaching Hospital.
Department of Dermatology and Venereology.
出版信息
Medicine (Baltimore). 2019 Apr;98(16):e15109. doi: 10.1097/MD.0000000000015109.
RATIONALE
Condyloma acuminatum (CA) is a benign tumor primarily caused by infection with human papillomavirus (HPV) type-6 or type-11, lesions of which are most frequently found on the genital and perianal squamous mucosa and skin. CA outside the genitals is not common.
PATIENT CONCERNS
A 29-year-old male presented with lesions on the left nipple and coronary sulcus after heterosexual contact.
DIAGNOSES
Histopathological examination and HPV detection made a definite diagnosis of CA.
INTERVENTION
The patient was treated with microwave and topical imiquimod cream.
OUTCOMES
After 6 months follow-up, there was no sign of recurrence.
LESSONS
This case shows that we should pay more attention to CA outside the genitals in the process of diagnosis and treatment.
理论依据
尖锐湿疣（CA）是一种主要由6型或11型人乳头瘤病毒（HPV）感染引起的良性肿瘤，其病变最常发生于生殖器及肛周的鳞状黏膜和皮肤。生殖器外的CA并不常见。
患者情况
一名29岁男性在异性接触后，左侧乳头及冠状沟出现病变。
诊断
组织病理学检查及HPV检测确诊为CA。
干预措施
患者接受了微波治疗及外用咪喹莫特乳膏治疗。
结果
经过6个月的随访，无复发迹象。
经验教训
该病例表明，在诊疗过程中我们应更加关注生殖器外的CA。
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